Organization Active NPI

Complete Medical & Research Clinic Corp

  • Physical Therapy Clinic/Center
  • Hialeah, FL
National Provider Identifier
1356912596
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
COMPLETE MEDICAL & RESEARCH CLINIC CORP
Practice address
900 W 49TH St Ste 234
Hialeah, FL 33012-3407
Phone
(786) 353-2457
Fax
(786) 353-2377
NPI assigned
Jul 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Yordanys Portal
Title
Owner
Phone
(305) 479-9713

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

900 W 49TH St Ste 234
Hialeah, FL 33012-3407

Mailing address

900 W 49TH St Ste 234
Hialeah, FL 33012-3407
Phone (786) 353-2457

Other names 1

  • complete medical & research clinic corp Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250811000621 FL Part B Supplier - Clinic/Group Practice 0042718926 Receives reassigned benefits from 1 practitioner
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1356912596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 234",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123407",
            "telephone_number": "786-353-2457",
            "fax_number": "786-353-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 W 49TH ST STE 234",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123407",
            "telephone_number": "786-353-2457",
            "fax_number": "786-353-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL & RESEARCH CLINIC CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-08",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "PORTAL",
        "authorized_official_first_name": "YORDANYS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-479-9713"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "complete medical & research clinic corp",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "complete medical & research clinic corp",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.